LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE – NPI #1710020755
Clinic/Center

LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE is an AHC clinic located in LAKEWOOD, CA. NPPES has assigned the NPI number 1710020755 to LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE on February 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is LAKEWOOD ORTHOPAEDIC SURGICAL & MEDICAL GROUP. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Aug 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE below.

NPI Profile for
LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE

NPI Number
1710020755
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE
Former Legal Business Name: LAKEWOOD ORTHOPAEDIC SURGICAL & MEDICAL GROUP
Primary location
5750 DOWNEY AVE STE 308
LAKEWOOD, CA 90712
Phone: (562) 633-3787 Fax: (562) 633-1977
1 Other location(s):
3610 Long Beach Blvd Ste 202
Long Beach, CA 90807
Phone: (562) 427-8119
Fax: (562) 546-1227
Mailing address
PO BOX 15848
NEWPORT BEACH, CA 92659-5848
Phone: (657) 241-3600 Fax: (657) 241-7708
Organization Subpart
No
Authorized Official
EZZAT WASSEF
GENERAL PARTNER
Phone: (562) 633-3787
Updated
Certification Date
Aug 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for LONG BEACH - LAKEWOOD ORTHOPEDIC INSTITUTE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCAGR0066890
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.